Organization
SILVER LINING RESIDENTIAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEDAPO ADEBOWALE (C.E.O.)
(443) 527-0390
Entity
Organization
Contact information
Practice address
8014 MONTAGUE MANOR LN, HOUSTON, TX 77072-0124
(443) 527-0390
Mailing address
8014 MONTAGUE MANOR LN, HOUSTON, TX 77072-0124
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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